Provider Demographics
NPI:1497963219
Name:FLECKER, JANET GIUNTA (CRNP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:GIUNTA
Last Name:FLECKER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 YELLOW CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:PA
Mailing Address - Zip Code:16052-2816
Mailing Address - Country:US
Mailing Address - Phone:724-865-2146
Mailing Address - Fax:
Practice Address - Street 1:1 MORROW WAY
Practice Address - Street 2:204 CAMPUS DRIVE
Practice Address - City:SLIPPERY ROCK
Practice Address - State:PA
Practice Address - Zip Code:16057-1314
Practice Address - Country:US
Practice Address - Phone:724-738-2052
Practice Address - Fax:724-738-2078
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP000612C363LF0000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAR80565Medicare UPIN